Flow reversal for cerebral protection in carotid artery stenting: a review.
Carotid artery stenting has established itself as a valid treatment option for carotid stenosis. Many neuroprotective devices have been developed to minimize the risk of embolic events and stroke. Of the devices available today, flow reversal is unique in its conceptual similarity to carotid endarterectomy shunting techniques that maintain cerebral flow. This review focuses on the technical aspects, results, advantages, and disadvantages of carotid flow reversal for embolic protection during carotid artery stenting.
Kelso
Rebecca
R
Department of Vascular Surgery, Heart & Vascular Institute, Cleveland, OH 44195, USA.
Clair
Daniel G
DG
D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation; D000818:Animals; D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation*; D021721:Balloon Occlusion / Q000295:instrumentation; D017536:Carotid Artery, Common / Q000503:physiopathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D004867:Equipment Design; D005374:Filtration / Q000295:instrumentation; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D012039:Regional Blood Flow; D015607:Stents; D016896:Treatment Outcome